North Shore Medical Center

Detailed report on the hospital located in Salem, Massachusetts (MA).

North Shore Medical Center is a non-profit acute care hospital based at 81 Highland Avenue in Salem, MA. The facility is accredited and provides emergency services.
The mortality rate for heart attack patients at the facility is no different than the national rate. The patient mortality rate is also no different than the national rate.
In 2006, a total of 6,180 Medicare patients were given 46,769 days of PPS inpatient care and services. The provider was reimbursed $75,389,533 by Medicare for those services. In 2006, 421 Medicare patients were given 6,582 days of Non-PPS inpatient care and services. 32,900 Medicare patients were given outpatient care and services by this provider in 2006. The provider was reimbursed $28,634,312 by Medicare for these services.

When compared to other hospitals in the state,
pneumonia patients at this facility are less likely to assessed and given an influenza vaccination and assessed and given a pneumococcal vaccination.

Quality Measures

Heart Attack Patients Given Inhibitor or ARB

The percentage of heart attack patients given ace inhibitor or arb for left ventricular systolic dysfunction (lvsd). The sample size for this measure was 111 patients.

This Provider

95.00%

Essex County

85.83%

Massachusetts

87.88%

United States

82.44%

Heart Attack Patients Given Aspirin at Discharge

The percentage of heart attack patients given aspirin at discharge. The sample size for this measure was 325 patients.

This Provider

99.00%

Essex County

94.17%

Massachusetts

96.07%

United States

90.10%

Heart Attack Patients Given Beta Blocker at Discharge

The percentage of heart attack patients given beta blocker at discharge. The sample size for this measure was 330 patients.

This Provider

99.00%

Essex County

96.83%

Massachusetts

97.48%

United States

89.74%

Heart Attack Patients Given PCI within 90 Minutes

The percentage of heart attack patients given pci within 90 minutes of arrival. The sample size for this measure was 8 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

75.00%

Essex County

75.00%

Massachusetts

64.29%

United States

53.85%

Heart Failure Patients Given ACE Inhibitor or ARB

The percentage of heart failure patients given ace inhibitor or arb for left ventricular systolic dysfunction (lvsd). The sample size for this measure was 149 patients.

This Provider

93.00%

Essex County

84.17%

Massachusetts

85.36%

United States

82.00%

Heart Failure Patients Given Discharge Instructions

The percentage of heart failure patients given discharge instructions. The sample size for this measure was 461 patients.

This Provider

76.00%

Essex County

66.17%

Massachusetts

68.79%

United States

60.95%

Pneumonia Patients Given Influenza Vaccination

The percentage of pneumonia patients assessed and given influenza vaccination. The sample size for this measure was 93 patients.

This Provider

54.00%

Essex County

76.00%

Massachusetts

75.42%

United States

69.93%

Pneumonia Patients Given Antibiotics within 4 Hours

The percentage of pneumonia patients given initial antibiotic(s) within 4 hours after arrival. The sample size for this measure was 525 patients.

This Provider

78.00%

Essex County

79.50%

Massachusetts

80.10%

United States

80.14%

Pneumonia Patients Given Smoking Cessation Advice

The percentage of pneumonia patients given smoking cessation advice or counseling. The sample size for this measure was 127 patients.

This Provider

81.00%

Essex County

86.17%

Massachusetts

82.03%

United States

79.65%

Pneumonia Patients whose Blood Culture Performed Prior to Antibiotics

The percentage of pneumonia patients whose initial emergency room blood culture was performed prior to the administration of the first hospital dose of antibiotics. The sample size for this measure was 356 patients.

This Provider

92.00%

Essex County

91.83%

Massachusetts

90.38%

United States

90.43%

Surgery Patients Given Appropriate Antibiotics

The percentage of surgery patients who received the appropriate preventative antibiotic(s) for their surgery. The sample size for this measure was 117 patients.

Note:

Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

This Provider

97.00%

Essex County

95.50%

Massachusetts

93.59%

United States

89.88%

Heart Attack Patients Given Aspirin at Arrival

The percentage of heart attack patients given aspirin at arrival. The sample size for this measure was 312 patients.

This Provider

99.00%

Essex County

97.00%

Massachusetts

97.70%

United States

92.45%

Heart Attack Patients Given Beta Blocker at Arrival

The percentage of heart attack patients given beta blocker at arrival. The sample size for this measure was 284 patients.

This Provider

99.00%

Essex County

95.17%

Massachusetts

95.39%

United States

87.23%

Heart Attack Patients Given Fibrinolytic Medication within 30 Minutes

The percentage of heart attack patients given fibrinolytic medication within 30 minutes of arrival. The sample size for this measure was 3 patients.

Note:

The number of cases is too small for purposes of reliably predicting hospital's performance.

This Provider

0.00%

Essex County

50.00%

Massachusetts

28.42%

United States

31.22%

Heart Attack Patients Given Smoking Cessation Advice

The percentage of heart attack patients given smoking cessation advice or counseling. The sample size for this measure was 100 patients.

This Provider

96.00%

Essex County

82.33%

Massachusetts

87.91%

United States

87.61%

Heart Failure Patients Given Evaluation of LVS Function

The percentage of heart failure patients given an evaluation of left ventricular systolic (lvs) function. The sample size for this measure was 688 patients.

This Provider

96.00%

Essex County

92.67%

Massachusetts

92.72%

United States

83.53%

Heart Failure Patients Given Smoking Cessation Advice

The percentage of heart failure patients given smoking cessation advice or counseling. The sample size for this measure was 77 patients.

This Provider

94.00%

Essex County

90.67%

Massachusetts

85.32%

United States

81.61%

Pneumonia Patients Given Pneumococcal Vaccination

The percentage of pneumonia patients assessed and given pneumococcal vaccination. The sample size for this measure was 387 patients.

This Provider

57.00%

Essex County

80.33%

Massachusetts

74.11%

United States

69.00%

Pneumonia Patients Given Oxygenation Assessment

The percentage of pneumonia patients given oxygenation assessment. The sample size for this measure was 585 patients.

This Provider

100.00%

Essex County

100.00%

Massachusetts

99.94%

United States

99.26%

Pneumonia Patients Given Most Appropriate Antibiotics

The percentage of pneumonia patients given the most appropriate initial antibiotic(s). The sample size for this measure was 388 patients.

This Provider

88.00%

Essex County

88.50%

Massachusetts

86.66%

United States

82.91%

Surgery Patients Given Antibiotics 1 Hour Before Incision

The percentage of surgery patients who received preventative antibiotic(s) 1 hour before incision. The sample size for this measure was 400 patients.

Note:

Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Rate reflects fewer than the maximum possible quarters of data for the measure.

This Provider

88.00%

Essex County

88.33%

Massachusetts

84.03%

United States

76.95%

Surgery Patients whose Antibiotics Stopped within 24 Hours of Surgery

The percentage of surgery patients whose preventative antibiotic(s) are stopped within 24 hours after surgery. The sample size for this measure was 371 patients.

Note:

Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Rate reflects fewer than the maximum possible quarters of data for the measure.

Treatment Figures

PPS Inpatients

The number of prospective payment system inpatients treated by this provider that were covered by Medicare Part A in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

6,180

Essex County Average

3,268

Massachusetts Average

3,151

United States Average

2,267

PPS Inpatient Utilization Days

The number of days of prospective payment system inpatient care that are chargeable to Medicare Part A facility utilization by this provider in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

46,769

Essex County Average

23,399

Massachusetts Average

23,552

United States Average

17,102

Non-PPS Inpatients

The number of non prospective payment system inpatients treated by this provider that were covered by Medicare Part A in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

421

Essex County Average

394

Massachusetts Average

322

United States Average

371

Non-PPS Inpatient Utilization Days

The number of days of non prospective payment system inpatient care that are chargeable to Medicare Part A facility utilization by this provider in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

6,582

Essex County Average

5,804

Massachusetts Average

4,595

United States Average

3,791

Outpatients

The number of outpatients treated by this provider that were covered by Medicare Part B in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider

32,900

Essex County Average

15,595

Massachusetts Average

14,207

United States Average

7,242

PPS Inpatient Days

The number of days of prospective payment system inpatient care given by this provider that were covered by Medicare Part A in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

46,963

Essex County Average

23,564

Massachusetts Average

23,762

United States Average

17,255

PPS Inpatient Discharges

The number of prospective payment system inpatient discharges made by this provider that were covered by Medicare Part A in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

6,715

Essex County Average

4,150

Massachusetts Average

4,232

United States Average

2,995

Non-PPS Inpatient Days

The number of days of non prospective payment system inpatient care given by this provider that were covered by Medicare Part A in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

6,603

Essex County Average

5,861

Massachusetts Average

4,667

United States Average

3,834

Non-PPS Inpatient Discharges

The number of non prospective payment system inpatient discharges made by this provider that were covered by Medicare Part A in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

391

Essex County Average

488

Massachusetts Average

393

United States Average

450

Financials

Medicare PPS Inpatient Payments

The total prospective payment system inpatient associated Medicare Part A payments, plus pass-through, made to this provider in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$75,389,533

Essex County Average

$34,053,216

Massachusetts Average

$42,325,533

United States Average

$28,006,530

Medicare Payments Per PPS Inpatient Day

The average Medicare payments made to this provider per Medicare Part A covered prospective payment system inpatient day in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$1,605

Essex County Average

$1,445

Massachusetts Average

$1,781

United States Average

$1,623

Medicare Payments Per PPS Inpatient Discharge

The average Medicare payments made to this provider per Medicare Part A covered prospective payment system inpatient discharge in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$11,227

Essex County Average

$8,205

Massachusetts Average

$10,001

United States Average

$9,352

Medicare Non-PPS Inpatient Payments

The total non prospective payment system inpatient associated Medicare Part A payments, plus pass-through, made to this provider in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$4,922,293

Essex County Average

$3,925,204

Massachusetts Average

$3,749,879

United States Average

$4,323,113

Medicare Payments Per Non-PPS Inpatient Day

The average Medicare payments made to this provider per Medicare Part A covered non prospective payment system inpatient day in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$745

Essex County Average

$670

Massachusetts Average

$804

United States Average

$1,128

Medicare Outpatient Payments

The total outpatient associated Medicare Part B payments made to this provider in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.

This Provider

$28,634,312

Essex County Average

$12,808,870

Massachusetts Average

$12,463,905

United States Average

$5,694,349

Medicare Payments Per PPS Inpatient

The average Medicare payments made to this provider per Medicare Part A covered prospective payment system inpatient in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$12,199

Essex County Average

$10,421

Massachusetts Average

$13,431

United States Average

$12,356

Medicare Payments Per PPS Inpatient Utilization Day

The average Medicare payments made to this provider per Medicare Part A covered prospective payment system inpatient utilization day in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$1,612

Essex County Average

$1,455

Massachusetts Average

$1,797

United States Average

$1,638

Medicare Payments Per Non-PPS Inpatient

The average Medicare payments made to this provider per Medicare Part A covered non prospective payment system inpatient in 2006. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$11,692

Essex County Average

$9,968

Massachusetts Average

$11,648

United States Average

$11,654

Medicare Payments Per Non-PPS Inpatient Utilization Day

The average Medicare payments made to this provider per Medicare Part A covered non prospective payment system inpatient utilization day in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$748

Essex County Average

$676

Massachusetts Average

$816

United States Average

$1,140

Medicare Payments Per Non-PPS Inpatient Discharge

The average Medicare payments made to this provider per Medicare Part A covered non prospective payment system inpatient discharge in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. The prospective payment system (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. [1]

This Provider

$12,589

Essex County Average

$8,037

Massachusetts Average

$9,535

United States Average

$9,611

Medicare Payments Per Outpatient

The average Medicare payments made to this provider per Medicare Part B covered outpatient in 2006. An outpatient is defined as a patient treated in under 24 hours at a qualifying medical facility.

Note:

These figures may include data from other departments at this facility.